In-patient (early) rehabilitation

It is difficult to develop the financing and hospital provision of interventions for early rehabilitation within the diagnosis-related group (DRG) system. In addition to a range of partially rehabilitative complex interventions, the system recognizes three main forms of early rehabilitative interven...

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Veröffentlicht in:Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Gesundheitsforschung, Gesundheitsschutz, 2017-04, Vol.60 (4), p.419-426
Hauptverfasser: Wallesch, Claus-W, Lautenschläger, Sindy
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container_title Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
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creator Wallesch, Claus-W
Lautenschläger, Sindy
description It is difficult to develop the financing and hospital provision of interventions for early rehabilitation within the diagnosis-related group (DRG) system. In addition to a range of partially rehabilitative complex interventions, the system recognizes three main forms of early rehabilitative interventions: geriatric, neurological/neurosurgical, and interdisciplinary and others. In this article, the appropriate definitions and cost-effectiveness of these procedures are analyzed and compared. The early rehabilitative interventions are characterized by constant cooperation in the therapeutic team, especially neurological early rehabilitation through the incorporation of nursing as a therapeutic profession. Whereas geriatric and neurological early rehabilitation are reflected in the DRG system, the former provided in many general hospitals and the latter mainly in specialized institutions, interdisciplinary early rehabilitation has only occasionally been represented in the DRG system so far. If all acute in-patients who require early rehabilitation should receive such an intervention, an additional fee must be implemented for this this interdisciplinary service.
doi_str_mv 10.1007/s00103-017-2522-0
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subjects Diagnosis-Related Groups - economics
Disabled Persons - rehabilitation
Disabled Persons - statistics & numerical data
Germany - epidemiology
Health Care Costs - statistics & numerical data
Hospitalization - economics
Hospitalization - statistics & numerical data
Humans
Models, Economic
Rehabilitation - economics
Rehabilitation - statistics & numerical data
Secondary Prevention - economics
Secondary Prevention - statistics & numerical data
title In-patient (early) rehabilitation
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